What is the role of open sympathectomy in axillary hyperhidrosis treatment?

Updated: Feb 12, 2019
  • Author: Richard H S Karpinski, MD, FACS; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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Answer

Open sympathectomy (via thoracotomy), though still practiced, is rapidly losing ground to its endoscopic counterpart, which theoretically achieves the same therapeutic goal with much less patient morbidity. Kotzareff first used the technique in 1920, with removal of part of the sympathetic chain for hyperhidrosis.


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